There is a great art to performing skin closures after Mohs surgery. Regardless of who performs the closure, it does take some time for the skin to heal, and the swelling to go down. Immediately after surgical closure of the wound, it is not unusual for significant swelling to occur, distorting tissues, and sometimes causing a temporary pulling and tightness of the skin.
Fortunately, these changes dissipate over 1-2 weeks after surgery. Occasionally, however, it may take longer for the post-surgical changes to go away, sometimes as long as several months.
With that said, I always make it a point to see my patients a few days after surgery and I continue seeing them regularly as the healing progresses. At these visits, I discuss the surgical closure and ask the patient if they have any concerns about the cosmetic or functional outcome of the surgery.
Although a revision surgery may be performed to correct an unexpected surgical outcome, this is very rarely necessary, especially when the procedure is performed by someone accustomed to performing Mohs surgery closures.
I would encourage you to bring up your concerns to the surgeon at your post-operative visit. If none was scheduled, call the surgeon's office and ask to see the doctor to discuss this soon.
